HomeMy WebLinkAboutPermit Signage 2006-8-2
~
,
-
'.
SPRINGFIELD u....::..r-:ti'ILl<.\."':}
~ .~.
~.,: .f:... <i'G -..&1--""-jj;. ".
..... ,j ,"'-', ,\ ,"~.~j
l.~ ........r.i.'&it'j~,-_.~,.:..~<;;". ,Af:t.,~;.;' . (~:.tt~:~
'~,,'-_. ..'o{;,'....~~,....;::."'~>,./'
~. ..k~"".J
. .t; -.,-..U
.~~ ~'t;S
W'..,i'l ,'~
"'- '
225 F1ITH STREET. SPRINGFIELD, OR 97477 . PH:(541)726<H53 . FAX: (541)726-3689
~:'" /I "".-.r-.6- 0096/
0; City Job Number LUV'1 c...>-A-' '.
.~~, ' ..)\0
..~~ Job Location 5.;l 5/ 1Ylf1;,iwes:f/IM\\\'J,S.LI 0/1.
~ J r7€Q"'..ll,\a;:,~~;Vl~se\\~~\,' J"~
...."",4~ Assessors Man _~' C' _~Xl'l-> .,,?,,:;,> ~ o.S~' '",'
~ . ~~\ ,~. 60'\?'- OS" ' Ot"" 'JW" -,
,--l Owner 1'>\\ 1'J\es'cl: \\Wl. \'(\~\o'JQ~ 0\ \~e \ :l\Olle
r::/?J.'" \o\\O~ . 0\\ c~~ .<.:lC\\\) 09\eyp;;;s > \e\e9 \\o{\
" ... ca.\\ .j" (~::'Ja.~'<I s, . ,. ,:t,<"a.
aQ; Owner of Prop em: - ^<<t., {(I . Ut:7'\'}... u.)'0
c:;:,) , Or"" '0((\<>1 ,,(." \J,,'''I~c.C.)'
.. :~:.::~ dd C" ~~"",'),/().i~f'>>Sel\ 00~0~.~~~,?:
~ A ress .;u" ,,>' ,,1/,n-tl/1 ,e ,:rc<:\v
1~ vV. Xle\ 'v' \el \S '
: . 1 ,-dJ(\I cell
~ City . f).,j.A.
- 1;
~)
~>
.,,~;
6;
~~
~'
~--::l.
. ...- ~
,...- ~
._- .
~
U
II
~..
-.. ....._.1.
F1:
h._t
~l
~
f" I,
p,
~j
~J:))
.... '..---'1
~
Ci))
..___=li
,~~j
l,,;'.;.,)~
, j
k~
~
~l
----
~;
~j
~~
9:
cz:jJ
~<
~\
. Tax Lot
Phonp
. Statp
!");(..
Omtractorllltswller.
ContractN 10/ /J/I)f7jL ,.. ,.I['\\'I'f.-
t \I' \"~ 0\
.,. ~~', , \. t'j.\,I\'I \>!III \'0 ~
^, ,\1\\:. _,,'~ <;I;\f>..\.: _ ~Ll\C; jlt\'l _ rl}l1onp
';fl\S Y\:.<'ll~\J \.I\,\\J\:.<' ~~f>..~\J\)Nt:V '
,\I\I;\O\'l.,~(.(\ 0\'1 IS "tatp
C01>/l"'\t:,,-~\~ jlt.\'\\VV.
. " ,'liI' 01
Construction Contractors Llcense;#X. ,
Addrf'<<
City
Description
,5on'//JJt::X ,-5l'JA-ilVn IJR/J/J Ell!!.....
Date ofInstallation
8-,:( - ~~.
Date of RemoYf t
911./76'
072.0 {
,5''11- "tiI~- qd~
Zip t} 7'77,9
Zip
Expire<
8- 3/ -.00
.'.. '
Banner Permit Fee $45,00 + Required Deposit $100,00 + 10% Administrative Fee
By signature, 1 state and agree that I have carefully completed this application and hereby certify that
all infonnation herein is true and correct. I further agree and understand that the above described
banner(s) andlor portable sign(s) is not larger than 60 square feet, and will be removed within 30 days
from the date listed above. If the banner(s) andlor portable sign is not removed within the timeline
specified, I will forfeit the $100.00 deposit. I also understand that this special pennit can be issued
only twice per calendar year per development area. I also agree to call the inspection line at 726-3769
by the end of the 30th day to request an inspection to verify the removal of the banner(s) andlor portable
sign(s), This inspection will begin the process to return the $100.00 deposit if the banner(s) andlor
portable sign(s) has been removed.
Signaturf' ~ < d("iL '.M) Dat.. ~ kt.. ~L
~ . rfI - -....r:'7 e-----L, '/ ~
Date of Application
7,h1 lob
,
~
For Office Use
lob # c..b - 00 9bf
Issued By
Amount Collected
Receipt #
) 5'5 E:-
Shared Drive (T:)lBuilding FormslBanner_Ponable Sign Pennit CSD g-OS.doc
.
. CITY VI' I)rtUl'lt.NI!,LV
Building/Combination Permit
PERMIT NO: COM2006-00961
ISSUED: 07/31/2006
APPLIED: 07/31/2006
EXPIRES: 08/31/2006
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 5251 MAIN ST
ASSESSOR'S PARCEL NO.: 1702333107201
Springfield TYPE OF WORK: Banner
TYPE OF USE: New
PROJECT DESCRIPTION: Banner - Install 080206 removal date 083106 for Umpqua bank
Commercial
Owner: UMPQUA BANK
Address: PO BOX 1820
ROSEBURG OR 97470
I CONTRACTOR INFORMATION I
Contractor Type
Sign
Cootractor
OWNER
License
Expiration Date Phone
BUILDING INFORMATION.
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkl~ Building:
....d';- ~'tV.,",'1'
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
'i:.'J..\,\+'DEVEIJOPMENT INFORMATION I
(' .' 'XI ",-'- tI\S \ - <.1,) ~V'
. i.\ ,\\J'" ~ \\\ ':J 'i:.\\ '\. 1,)\J't'<\..
Front yard Setb~ck:' 1'\:.'0~'i:.1,) 1jV\1,) \s r>."r>.'t'< Overlay Dist:
Side 1 Setback: \ \~~\\CI'i\\ 'i:.1,) CI'i\ CI'0. # Street Trees Rqd:
Side 2 Setback: ~ ~\\~'i:.~\<,~ \,'i..\\\ Paved Drive Rqd:
Rearyard Setback:,CI I"~ \ I,ll \)" % of Lot Coverage:
Solar Setbacks: ;,i"
REQUIRED PARKING
Notes:
Total:
.,-
~ '1(Handicapped:
. e--;;l .\"\.". .A'(.
0'~ ~Compact:
~e<S. e'0o "'e.... ~'\'
0'" \'O-~ 'is'e 0\ 'If.-e g<;,'I:<:J '" '0'1
~<eg , '0'1 . ,0\e f'\'r<0 ,,s.e.,,
I PUBLIC IMPROVEMEN:rS I': :oo~""" ,\,,0~~00~~ 0' ~~e~"v~,o'"
, v \e~' ()~. ^,e e"< .",c,
-<\v .,\'0' G~0.S'd~~ IkT'\" ~ _'0"
'r' :-II ~V" I ewa.'ype:. ,~
o~o ~o'" ()()y- ~\'O-". \,;:\0'- \'''~'1 'OD.~'
~ ..,,~,c,'il' ,,<;,'1: Downspouts/D~ains:');
_'0' 0'" ~<>' "", q,v ~;)V
\~ Ot>' -.J.00 e C,e Ole a.()()-
\'" ~. ~ 'is'e v"
()()g \\\"''0 ,o~ \\'"
c,"" ~e\ ",\e
^0~ Ge
Street Improvements:
Storm Sewer Available:
Special Instruction:
I Valuation Descriotion I
Description
Tvpe of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Pa!!e 1 of2
.
. CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2006-0096I
ISSUED: 07/31/2006
APPLIED: 07/31/2006
EXPIRES: 08/31/2006
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
Fees P3W
$14.50
$45.00
$100,00
7/31/06
7/31/06
7/31/06
Receipt Number
1200600000000001163
1200600000000001163
1200600000000001163
Fee Description
+ 10% Administrative Fee
Banner Special Permit
Deposit
Amount Paid
Date Paid
Total Amount Paid
$159.50
I Plan Reviews ,
To Request an inspection call the 24 hour recording at 726-3769, All inspection requested before 7:00 a,m,
will be made the same working day, inspections requested after 7:00 a,m, will be made the following work
day.
~lIired InsnectionsJ
Sign Final: After all required inspections are conducted and approved and the sign installation is completed.
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all
information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with
the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and
that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety.
I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project.
I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the
street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all
times during construction.
r ~-_~~~~
7~ J/~06
Owner or Contractor~ Signature
Date
P'ee 2 of2
225 Fifth Street.
SpringfieM; Or~gon 97477
541-726-3759 Phone
.
Job/Journal Number
COM2006-0096I
COM2006-0096I
COM2006-00961
Payments:
Type of Payment
Check
cRccciol1
RECEIPT #:
Description
+ 10% Administrative Fee
Deposit
Banner Special Permit
Paid By
UMPQUA BANK
........~._~.!!.llI,I!..
lAt. ..
. .
- " ,..' .
IiJiiy of Springfield Official Receipt
Wvelopment Services Department
Public Works Department
1200600000000001163
Date: 07/31/2006
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb 144196 In Person
Payment Total:
Page 1 of I
11:17:43AM
Amount Due
14.50
100.00
45.00
$159.50
Amount Paid
$159.50
$159.50
7/31/2006